2020 年第 4 期 第 15 卷

强化家庭支持对膀胱癌尿流改道腹壁造口患者的影响分析

Effect of strengthening family support on patients with urinary diversion and abdominal wall stoma for bladder cancer bladder cancer with urinary diversion and abdominal wall stoma

作者：钱丽萍傅巧美王良梅张青

英文作者：Qian Liping Fu Qiaomei Wang Liangmei Zhang Qing

单位：南京大学医学院附属鼓楼医院南京鼓楼医院泌尿外科210000

英文单位：Department of Urology Nanjing Drum Tower Hospital the Affiliated Hospital of Nanjing University Medical School Nanjing 210000 China

关键词：膀胱癌；强化家庭支持；尿流改道腹壁造口

英文关键词：Bladdercancer;Strengtheningfamilysupport;Urinarydiversionandabdominalwallstoma

• 摘要：

• 【摘要】目的    探究强化家庭支持对膀胱癌尿流改道腹壁造口患者的影响。方法    选取2016年 9月至2017年9月南京鼓楼医院收治的给予常规干预的膀胱癌尿流改道腹壁造口患者60例作为对照组，另选取2017年10月至2018年10月同一医院收治的给予强化家庭支持干预的膀胱癌尿流改道腹壁造口患者60例作为观察组。对比2组社会支持度、生活质量及心理状态评分。结果    干预3个月后观察组社会支持度（客观支持、主观支持、支持利用度）、生活质量（功能状况、情感状况、社会/家庭状况及生理状况）评分均高于对照组，心理状态（焦虑自评量表、抑郁自评量表）评分均低于对照组［（10.3±1.4）分比（6.6±1.5）分、（13.4±1.5）分比（10.0±1.8）分、（11.1±1.0）分比（7.0±1.5）分、（24.4±2.3）分比（20.1±3.2）分、（20.2±2.4）分比（17.8±2.8）分、（22.9±2.1）分比（19.8±2.4）分、（24.8±1.4）分比（20.1±2.2）分、（49.8±2.2）分比（52.1±2.5）分、（51.3±1.9）分比（53.2±2.2）分］，差异均有统计学意义（均P＜0.05）。结论    强化家庭支持应用于膀胱癌尿流改道腹壁造口患者中，可显著提高患者的社会支持度与生活质量，改善其心理状态。

• 【Abstract】Objective    To explore the effect of strengthening family support on patients with urinary diversion and abdominal wall stoma for bladder cancer. Methods    Sixty patients with bladder cancer in Nanjing Drum Tower Hospital who had urinary diversion and abdominal wall stoma from September 2016 to September 2017 were treated with conventional intervention（control group）. Sixty patients treated with intensive family support from October 2017 to October 2018 were enrolled as observation group. Scores of social support, life quality and mental state analyzed. Results    After 3 months of intervention, social support(objective support, subjective support and support utilization) scores, life quality(functional status, emotional status, social/family status and physiological status)scores in observation group were higher and mental state(Self-rating Anxiety Scale and Self-rating Depression Scale)scores were lower than those in control group［（10.3±1.4） vs （6.6±1.5）, （13.4±1.5） vs （10.0±1.8）, （11.1±1.0） vs （7.0±1.5）, （24.4±2.3） vs （20.1±3.2）, （20.2±2.4） vs （17.8±2.8）, （22.9±2.1） vs （19.8±2.4）, （24.8±1.4） vs （20.1±2.2）, （49.8±2.2） vs （52.1±2.5）, （51.3±1.9） vs （53.2±2.2）］; the differences were statistically significant(all P<0.05). Conclusion    Strengthening family support for patients with urinary diversion and abdominal wall stoma can significantly improve the social support, quality of life and mental state.